Graduated: 2020
NPI: 1558157784
Practice Locations (2)
KETAMINE AND IV THERAPY CLINIC OF NWA LLC
101 GRANT PL, SUITE C
LOWELL, AR 727457103
4793182382
PURE BALANCE OF NWA PLLC
3608 W SOUTHERN HILLS BLVD, SUITE 4
ROGERS, AR 727588310
4796337052
Source: CMS National Downloadable File, September 2026.